How was your experience with John Wilcox at HRC?
Dr. Wilcox's strength is his very calm demeanor, which I equated to confidence. He was always cool and collected, and his tone of voice was very comforting. He answered every question I had (except with the last transfer) as if he had always known the answer. He never faltered in his responses, which made me feel at ease. Dr. Wilcox's weakness, as previously stated, is that he could be a bit more supportive. After each failed transfer, I never connected with him as far as the next steps. I always spoke to my IVF coordinator, who would speak on his behalf. After each failed transfer (I had 3), I would have liked to connect with him or even have him call me with the next steps. I think that adds the human factor; the idea that he's not just a busy doctor, but a human who actually cares about my progress. During the last ultrasound prior to my 3rd FET, I asked him a question and he gave me a single word response before leaving the room. I did not feel very supported/validated at that time. I would say that for the most part, though, Dr. Wilcox was professional and I was confident with my treatment plan. His protocol always worked for me because I responded well to medications. Everything looked picture perfect beforehand. He adjusted the treatment plan with each failed FET, and I had cervical dilations and an ERA to help diagnose possible issues with implantation at the cellular level. I am confident in his treatment plans for me for the future as well.
What's one piece of advice would you give a prospective patient of John Wilcox at HRC?
He may come off a little too calm, but that seems to be his personality and bedside manner. If you don't feel comfortable by that, I would go with another doctor. He was always consistently cool as a cucumber.
During treatment, were you treated like a number or a human with John Wilcox at HRC?
Dr. Wilcox is a great doctor with calm demeanor. He or his nurse practitioner did all of my ultrasounds, which is great. However, I never spoke to Dr. Wilcox after each failed transfer. Even just a quick phone call to show his support would have been nice. Maybe that is too much to ask, but this is an extremely emotional experience and sometimes the bad news/aftermath of bad news is better received when it comes from the doctor. His awesome nursing team called me by phone/email, and were always prompt. But that is the only thing I would have liked from Dr. Wilcox.
Describe the protocols John Wilcox used in your cycles at HRC and their degree of success.
EGG RETRIEVAL IN JUNE 2017: Birth control pills started on 5/19/17-5/28/17. 5/30/17 appt for ultrasound/labs. 6/2/17: Started Gonal F 300 units, Menopur 75 units, Omnitrope 0.25 mL every night. 6/6/17: Appt for ultrasound/labs. Based on lab results, I continued all medications as ordered and increased Menopur to 100 units. 6/8/17: appt for labs/ultrasound. Follicles growing well, responding to meds well. 6/10/17: appt for labs/ultrasound. 6/11/17: trigger injection. 6/13/17: egg retrieval under general anesthesia. 19 eggs retrieved, 13 eggs mature, 11 fertilized via ICSI, 10 blasts, 5 PGS normal embryos (3 boys/2 girls).
FET #1 IN AUGUST 2017: 7/1//17:take last birth control pill. 7/12/17 appt for ultrasound, labs for BHCG and estrogen. 7/16/17: Start Delestrogen 0.1mL every 3 days for 2 doses. Start prenatal vitamins, dha, and folic acid daily.
7/22/17: increase Delestrogen to 0.2mL every 3 days. 7/26/17: Appt for ultrasound/labs for progesterone and estrogen. 7/30/17: Started Endometrin 100mg vaginal suppository 3 times daily and Progesterone 200mg lozenges sublingually 3 times daily. 8/4/17: FET with 1 male PGS embryo. Dr. Wilcox had difficulty accessing my uterus because my cervix is anatomically shaped differently. 8/16/17: Beta HCG negative.
FET#2 IN OCTOBER 2017: 9/22/17: Dr. Wilcox completed a cervical dilation and endometrial scratch, because he had difficulty accessing my uterus during FET #1. 9/27/17 started Delestrogen 0.1 mL every 3 days for a total of 2 doses. Started prenatal vitamins, DHA, and folic acid daily. 10/3/17: increased Delestrogen to 0.2mL every 3 days. 10/6/17 appt for ultrasound/labs. 10/11/17 started Endometrin 100mg vaginal suppository 3 times daily and Progesterone 200mg lozenge sublingually 3 times daily. 10/16/17: FET with 2 PGS normal embryos (1 male/1 female) under general anesthesia. 10/27/17: Beta negative.
ERA CYCLE IN DECEMBER 2017: 11/2/17 started birth control. 11/11/17 last birth control pill today. 11/15/17 appt for ultrasound/labs. 11/16/17 started Delestrogen 0.1mL every 3 days for a total of 2 doses. 11/22/17 Increased Delestrogen to 0.2mL every 3 days. 11/27/17 appt for labs/ultrasounds. 11/30/17 started Progesterone 1mL IM daily and Endometrin 100mg vaginal suppository 3 times daily. 12/5/17: ERA biopsy. Started back on birth control pills.
FET#3 IN JANUARY 2018: 12/22/17 cervical dilation under general anesthesia. 12/28/17 took last birth control pill today. 1/2/18 appt for labs, ultrasound, and endometrial scratch. Started Delestrogen 0.1mL every 3 days for a total of 2 doses, and started prenatal vitamins, folic acid, and dha. 1/8/18 increased Delestrogen to 0.2mL every 3 days. 1/12/18 appt for labs and ultrasound. Dr. Wilcox saw what could have been hydrosalpinx on right side fallopian tube. 1/16/18 started Progesterone 1mL IM daily at 9am, and Endometrin 100mg vaginal suppository 3 times daily. 1/22/18 FET #3 with 1 PGS male embryo under general anesthesia. 2/2/18 Beta negative.
CURRENT PLAN OF CARE: referred back to OB for possible laparoscopy of right side pelvic area, or placement of Essure on right side fallopian tube.
Describe your experience with your nurse at HRC. (Assigned nurse: Teresa Fontanilla)
Dr. Wilcox's nurse team was amazing. From his nurse practitioner Tiffany, to my assigned IVF coordinator Teresa, to his awesome nurses Nanette, Ana, and Kat, I always felt that everyone knew where I was in my cycle and what the next steps were. I never felt that his team was confused as to which patient I was. i never felt like a number. My preferred mode of communication is email, and sometimes I would email a random question. If Teresa was not able to respond quickly, one of the other nurses was so quick to respond. I never felt like I was waiting for an answer. When I came to my appointments, I always felt like they knew who i was. I really appreciated that!
Describe your experience with HRC.
Front staff was nice enough, but could have been a bit more welcoming of patients. I have spent a lot of time there, and they are consistently nice enough. This is a highly emotional experience, so I feel that the more smiles I see, the better the experience. It would be nice to be greeted to a warm, friendly, and understanding receptionist when I am going in for transfers, or going in for what I know is going to be a negative beta test. I will say that they are efficient and I am in and out as soon as possible. The entire facility is amazing and I can see that they value appearance. It is beautiful as soon as you walk out of the elevator. I love that it is always clean, and their coffee/tea station is fully stocked. There is always a place to sit, which is nice.
Describe the costs associated with your care under John Wilcox at HRC.
The cost for an IVF cycle (egg retrieval, 1st FET, PGS testing): $16,565. If I opted for no PGS testing, it would have been $12,110. Each FET $3150. General anesthesia $1500. Endometrial scratch $300. Cervical dilation $1100. ERA test $870. Biopsy $260.
Describe John Wilcox's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at HRC.
My doctor felt that I would be successful with a singleton transfer, but ultimately left it up to me. He was willing to transfer 2 PGS embryos, though it was not his recommendation.
What specific things went wrong at HRC?
- Failed to call in prescriptions to pharmacy